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    Peg Tubes - History and Decision Making

  • Also Available in Club CIAO

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    Appropriate Disciplines

    • APPROPRIATE DISCIPLINES
    • Speech Language Pathology Asst
    • Speech Language Pathologist
    • Certified Occupational Therapy Asst
    • Occupational Therapist
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Course Description

Making a recommendation for alternate forms of nutrition/hydration (ANH) is not one that professionals should take lightly. There are numerous concerns that must be considered - NOT just the bedside evaluation and/or the instrumental assessment. The patient is concerned about the quality of life, religious and cultural issues while the medical professional is more focused on the disease process and the outcomes - positive and negative. This course will provide a review of the history of enteral/parental nutrition as well as the factors involved in the decision making process. Various Advance Directives will be reviewed specifically looking at their nutrition/hydration choices. The bedside eval (standardized and your own), instrumental assessments and resources to utilize for chart review and patient education will be provided.

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Course Requirements:
  • Computer with internet and working speakers/sound are required for this course.
  • Course must be completed within 30 days of activation (activate course within 6 months of purchase).
  • An online multiple-choice quiz (80% passing score) and submission of an online evaluation form are required for successful completion.
  • A certificate of completion will be available to print immediately after course is successfully completed.
  • SLPs - ASHA CEUs may be obtained by completing the online ASHA form and checking the "Report to ASHA" box.

AOTA Classification Codes
OT Process: Intervention

Course Objectives

Upon successful completion of this course, participants will be able to:

  • Identify the various forms of enteral/parental nutrition and indications for each
  • List specific cultural/religious issues that are important when considering recommendations for alternative nutrition and hydration
  • Identify five advance directives available and the specific choices in each for alternate forms of nutrition and hydration
  • List at least four resources for information to provide as patient/family education
  • Discuss the importance of a thorough chart review including medical history and recommendations

Denise Dougherty

MA, CCC-SLP

Denise Dougherty, MA, CCC-SLP
Denise owns and operates a private practice in Indiana, PA, where she conducts therapy with both children and adults. She is a legal consultant/expert witness in wrongful death/negligence lawsuits involving dysphagia. Denise is a co-editor of Private Practice Essentials: A Practical Guide for Speech-Language Pathologists, published by ASHA Press. She has presented workshops and written numerous articles appearing in the ASHA Leader on the topic of private practice. Denise served as a consultant for The Arijah Children’s Foundation in Anguilla, BWI, providing evaluations and therapy programs for special needs children. Ms. Dougherty was an adjunct faculty member at York College of Pennsylvania and Wesley College in Dover, Delaware. She is a past President of the American Academy of Private Practice in Speech Pathology and Audiology (AAPPSPA), and received the Academy’s 2007 Honor Award and 2014 Award of Excellence for her achievements. Ms. Dougherty is a member of the Technical Experts Panel for Quality of Insights of Pennsylvania, working on initiating quality measures for CMS to improve effectiveness, efficiency, economy and quality of services delivered to Medicare beneficiaries. She received her bachelor’s degree in communication disorders from Marywood University in Scranton, Pennsylvania; a master’s degree in communication disorders from St. Louis University. Ms. Dougherty is certified in VitalStim® therapy and is a VitalStim® instructor, has completed additional training in orofacial myology, is a member of the American Speech, Language and Hearing Association and has received numerous ASHA ACE Awards. For more information, please visit www.dldspeechpath.com.

Financial Disclosure Denise receives honoraria from CIAO for the presentation of her live courses and royalties for the sale of her online courses. Denise is in private practice and receives legal consultant/expert witness fees
Non-Financial Disclosure: There are no non-financial relationships to disclose.

20 Minutes
Course overview/objectives
40 Minutes
History of Enteral/Parental Nutrition
20 Minutes
Cultural and Religious Influences in Decision Making
45 Minutes
Attitudes and Advance Directives
45 Minutes
Impact of Medical Professionals Beliefs/Values in Decision Making tools for ANH
35 Minutes
Resources and Dysphagia
35 Minutes
Evaluations Assessments and Recommendations
4.0 Hours
Total

Delivery VIA:

  • Online - This course is offered in an online, on demand format.
  • Club CIAO - Club CIAO: This course is also part of Club CIAO, our all-you-can-eat buffet of online courses for one low price. Club CIAO Members also receive 25% off of all Live Stream courses!

Contact hours pre-approved for:

  • 4.0 Hours
  • CIAO is an ASHA Approved Provider #AAWA (0.4 ASHA CEUs) bubble sheet required
  • CIAO is an AOTA Approved Provider #4119 (0.4 AOTA CEUs)
  • This course meets PDU requirements for NBCOT (4 PDUs)
  • As an IACET Authorized Provider, CIAO offers CEUs for its programs that qualify under the ANSI/IACET Standard
  • CIAO is authorized by IACET to offer 0.4 CEUs for this program
  • 4.0 Hours OTs in CA - Advanced Practice Swallowing #25-S16

The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.


This course is offered for 0.4 ASHA CEUs (Intermediate level, Professional area).


CIAO is accredited by the International Association for Continuing Education and Training (IACET). CIAO complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, CIAO is accredited to issue the IACET CEU.


CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)


Reviews

"good info"

- Bluff City, TN / Apr 2022

"You need to make sure of the correct answers to the questions. I missed two questions that I KNOW I answered correctly and will be calling CIAOSEMINARS to discuss this. Otherwise, one of the very best courses I have ever taken."

- Rupert, ID / Feb 2022

"thank you"

- Jackson , NJ / Oct 2019

"SO much good information! Loved this course"

- Madison, MS / Dec 2018

"I really enjoyed this course! As an SLP that's been practicing for almost 30 years, I've really altered my recommendations around feeding more liberally and this course really reinforced what I've been experiencing with the patient determining the plan of care."

- Highland, IL / Dec 2018

"Very informative!"

- San Antonio, TX / Nov 2018

"Amazing course!!"

- Highlands Ranch, CO / May 2018

"This course offers valuable concrete resources for decision making regarding the use of ANH. "

- Richland, MS / Dec 2017

"I really enjoyed this course. I gained a more thorough knowledge of identifying those patients who may benefit from a feeding tube versus those who most likely will not."

- Attalla, AL / Nov 2017